Question

You are caring for a patient who has a confirmed ectopic pregnancy. You base your nursing assessments upon the priority nursing observation related to ectopic pregnancy which is: septic shock related to infected uterine tissue O pain fluid volume overload hypovolemic shock related to blood loss Your patient has undergone a dilation and evacuation of a molar pregnancy (hydatidiform mole). You know that in the future the patient has an increased risk of: O developing cancer later o multiple gestation with subsequent pregnancies O unsuccessful attempts at becoming pregnant O all of the above Question 17 You are working in an ob/gyn office when you perform an intake on a woman requesting initiation of prenatal care and she relates a history macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. You recognize these factors highly suggest which of the following? O Abruptio placentae Diabetes mellitus O Hydatidiform mole O Toxoplasmosis You are caring for a patient with gestational hypertension. She reports all of the following complaints listed below. Which should you report immediately? O Backache O Urticaria O Blurred vision O Diarrhea You are teaching a late third trimester patient about returning for regular, longer and stronger contractions that are 5 minutes or less apart for at least one hour. Which of the following is how you would explain to your patient to time contractions? O Count the length of time that the contractions last Count from the beginning of one contraction to the beginning of the next O Count from the end of one contraction to the beginning of the next. Count the time between the beginning and the end of one contraction

Answer 1

The priority nursing observations during an ectopic pregnancy focus on signs of hypovolemic shock from blood loss. Once a patient has a molar pregnancy removed, they are at an increased risk of developing cancer. History of macrosomia, stillbirths, and polyhydramnios in a pregnant woman may indicate Diabetes Mellitus.

Step-by-step explanation:

When caring for a patient with a confirmed ectopic pregnancy, the priority nursing assessments are based on detecting signs of hypovolemic shock related to blood loss. This is due to the risk of a ruptured ectopic pregnancy causing severe hemorrhage. After a patient has undergone a dilation and evacuation of a hydatidiform mole, the patient has an increased risk of developing cancer later, namely gestational trophoblastic neoplasia.

The history related by the woman that includes macrosomic infants, stillbirths, and polyhydramnios with each pregnancy is suggestive of Diabetes Mellitus, as these are common features of uncontrolled diabetes during pregnancy. Infected uterine tissue is not usually an immediate concern in ectopic pregnancy.

For gestational hypertension, the symptom that should be reported immediately is blurred vision, as it can be a sign of severe preeclampsia which needs urgent attention. To time contractions, the patient should count from the beginning of one contraction to the beginning of the next.

Learn more about Ectopic Pregnancy